| K. Shagramanova Dental Corp. | |
|
3175 Firestone Blvd # 201 South Gate CA 90280-2951 | |
| (323) 749-0137 | |
| (323) 749-0334 |
| Full Name | K. Shagramanova Dental Corp. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3175 Firestone Blvd # 201, South Gate, California |
| Authorized Official Name and Position | Kristina Shagramanova (CEO) |
| Authorized Official Contact | 8186369208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K. Shagramanova Dental Corp. 410 W Colorado St Glendale CA 91204-1504 Ph: (818) 956-9907 | K. Shagramanova Dental Corp. 3175 Firestone Blvd # 201 South Gate CA 90280-2951 Ph: (323) 749-0137 |
| NPI Number | 1659938470 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 05/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659938470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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